Organization
DREAM CLUBHOUSE INC
Active
Other names
Dream House
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN TERRELL MANNING (PRESIDENT)
(252) 550-8609
Entity
Organization
Contact information
Practice address
664 STRATFORD BLVD, KINSTON, NC 28504-9647
(252) 468-2973
(855) 717-1947
Mailing address
664 STRATFORD BLVD, KINSTON, NC 28504-9647
(252) 550-8609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/07/2023
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